Generic Viagra Super Active ( Sildenafil Citrate )

Buy Generic Viagra Super Active (Sildenafil Citrate) without prescription in Canada

In our Canadian pharmacy, you can buy Viagra Super Active (Sildenafil Citrate) without a prescription, with delivery across Canada within 5‑14 days. Discreet and anonymous packaging.

Viagra Super Active is a fast‑acting oral softgel capsule formulation of sildenafil citrate, the same active ingredient found in traditional Viagra. It is used to treat erectile dysfunction (ED) by relaxing the smooth muscles of the penile arteries and increasing blood flow to the corpus cavernosum during sexual stimulation. The softgel capsule is designed to be absorbed more rapidly than standard film‑coated tablets, offering a faster onset of action and, for many men, a more reliable effect.

Usual adult dose: The recommended dose is one 100 mg softgel capsule taken orally as needed, approximately 15 to 30 minutes before anticipated sexual activity. The capsule should be swallowed whole with a glass of water. A high‑fat meal may delay absorption, so taking it on an empty stomach or after a light meal is best. The maximum recommended dosing frequency is once per day. This dose is equivalent to the maximum standard dose of traditional sildenafil and should not be exceeded without specialist guidance.

Dosage form: Oral softgel capsule containing 100 mg of sildenafil citrate.

Onset of action: Viagra Super Active is absorbed more rapidly than traditional tablets due to the softgel formulation. Peak plasma concentrations are typically reached within 30 to 60 minutes, with many men reporting an effect in as little as 15 minutes. Sexual stimulation is required for an erection to occur.

Duration of action: The therapeutic effect persists for up to 4 to 6 hours after a single dose. The elimination half‑life of sildenafil and its active metabolite is approximately 4 hours. It does not cause a continuous erection; arousal is necessary.

Alcohol recommendation: Alcohol consumption should be limited or avoided while taking Viagra Super Active. Drinking alcohol can temporarily reduce the ability to achieve an erection, may lower blood pressure further, and can increase the risk of side effects such as headache, dizziness, and flushing.

Most common side effects: Headache, facial flushing, dyspepsia (indigestion), nasal congestion, dizziness, and visual disturbances (e.g., a blue tinge to vision, increased sensitivity to light). These are usually mild and temporary. A rare but serious side effect is priapism, a prolonged and painful erection lasting more than 4 hours, which requires immediate medical attention. Sudden vision loss and sudden hearing loss have also been reported rarely.

Would you like to try Viagra Super Active (Sildenafil Citrate) without a prescription?

General Information about Viagra Super Active (Sildenafil Citrate)

• INN (International Nonproprietary Name): Sildenafil Citrate
• Brand names available in Canada: Viagra Super Active is not an approved or marketed brand in Canada. The active ingredient, sildenafil citrate, is legally available in Canada as Viagra® (Pfizer Canada Inc.) and as generic sildenafil tablets (25 mg, 50 mg, 100 mg). Viagra Super Active is an internationally sourced softgel capsule formulation obtained by our pharmacy through the international supply chain for personal importation.
• ATC code: G04BE03 (urologicals, drugs used in erectile dysfunction).
• Dosage forms and strengths: Oral softgel capsule: 100 mg of sildenafil citrate. This formulation is not available in standard Canadian pharmacies; it is sourced internationally.
• Manufacturers in Canada: None. Viagra Super Active is not manufactured in Canada. It is produced internationally by various pharmaceutical companies for markets where softgel PDE5 inhibitor formulations are registered. Our pharmacy obtains it through the international supply chain.
• Registration status in Canada: Not marketed in Canada. Viagra Super Active has not been issued a Notice of Compliance by Health Canada and is not listed in the Drug Product Database. The active ingredient sildenafil citrate is approved only in the standard oral tablet form. Softgel formulations are not approved by Health Canada.
• OTC / Rx classification: Prescription only (Rx). Sildenafil is a Schedule I drug under the Controlled Drugs and Substances Act. It requires a valid prescription from a licensed Canadian healthcare professional. Our pharmacy fulfills this prescription for the internationally sourced softgel product.

Mechanism of Action and Pharmacology

Sildenafil citrate is a potent and selective inhibitor of cyclic guanosine monophosphate (cGMP)‑specific phosphodiesterase type 5 (PDE5). During sexual stimulation, nitric oxide is released in the corpus cavernosum, activating guanylate cyclase and increasing intracellular cGMP. This relaxes the smooth muscle of the penile arteries and corpus cavernosum, allowing blood to flow in and produce an erection. PDE5 normally degrades cGMP; by inhibiting PDE5, sildenafil allows cGMP to accumulate, enhancing and prolonging the erectile response. Sildenafil has no direct relaxant effect without sexual stimulation.

Viagra Super Active utilizes a softgel capsule, which contains sildenafil in a liquid or semi‑solid matrix. This formulation promotes faster dissolution and absorption compared with traditional film‑coated tablets, leading to a more rapid onset of action. The drug is metabolized primarily by the cytochrome P450 isoenzyme CYP3A4 (major route) and CYP2C9 (minor route) to an active N‑desmethyl metabolite that possesses approximately 50% of the pharmacologic activity of the parent drug. The elimination half‑life of sildenafil and its active metabolite is approximately 4 hours. The drug is excreted predominantly as metabolites in the faeces (80%) and urine (13%). At the 100 mg dose, the incidence of adverse effects is comparable to that of standard sildenafil tablets, though the faster absorption may result in a slightly more rapid peak in side effects such as headache and flushing.

Indications

• Treatment of erectile dysfunction (ED) in adult men, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. Viagra Super Active offers the same therapeutic benefit as standard sildenafil, with the advantage of a faster onset due to the softgel capsule. Sexual stimulation is required.
• This product is not indicated for pulmonary arterial hypertension (PAH), benign prostatic hyperplasia (BPH), or any condition other than ED.
• Not indicated for use in women or in children and adolescents under 18 years of age.

Important Warnings and Precautions

At‑risk groups

• Pregnancy and breastfeeding: Viagra Super Active is not indicated for use by women. There are no adequate and well‑controlled studies of sildenafil in pregnant or breastfeeding women.
• Paediatrics (< 18 years): Sildenafil is not approved for use in children or adolescents for the treatment of ED.
• Elderly: No dose adjustment is required based on age alone. However, elderly patients may be more sensitive to the vasodilatory effects of sildenafil, and the risk of orthostatic hypotension may be increased. A lower starting dose of 25 mg or 50 mg is often recommended; the 100 mg softgel may be too potent for some elderly patients and should be used with caution.
• Cardiovascular disease: Sexual activity carries a degree of cardiac risk for patients with pre‑existing cardiovascular disease. Sildenafil has vasodilatory properties and can cause mild and transient decreases in blood pressure. It is contraindicated in patients with severe cardiovascular disease, including unstable angina, severe heart failure, and recent myocardial infarction or stroke (within the last 6 months).
• Use with nitrates: Sildenafil potentiates the hypotensive effects of nitrates and nitric oxide donors (e.g., nitroglycerin, isosorbide mononitrate, amyl nitrate). Concomitant use is absolutely contraindicated and can lead to a life‑threatening drop in blood pressure. This applies to all forms of sildenafil, including the softgel capsule.
• Use with guanylate cyclase stimulators: Concomitant use of sildenafil with riociguat (Adempas®) is contraindicated due to the risk of severe hypotension.
• Priapism: Prolonged erection (longer than 4 hours) has been reported rarely with PDE5 inhibitors. This is a medical emergency that can lead to permanent impotence. Patients should seek immediate medical attention if priapism occurs.
• Vision loss: Non‑arteritic anterior ischaemic optic neuropathy (NAION), a cause of sudden vision loss, has been reported rarely. Men with sudden vision loss should stop the drug and seek immediate medical care.
• Hearing loss: Sudden decrease or loss of hearing has been reported. Discontinue and seek prompt medical attention.
• Renal impairment: No dose adjustment is required in mild to moderate renal impairment. In severe renal impairment (creatinine clearance < 30 mL/min), the maximum recommended dose is 25 mg; the 100 mg softgel is contraindicated in this population.
• Hepatic impairment: In patients with hepatic impairment (e.g., cirrhosis), the maximum recommended dose is 25 mg. The 100 mg softgel is contraindicated in these patients.
• Alpha‑blockers: Concomitant use with alpha‑adrenergic blockers (e.g., tamsulosin, doxazosin) may cause additive hypotension. The patient should be stable on alpha‑blocker therapy before initiating sildenafil, and sildenafil should be started at the lowest dose (25 mg). The 100 mg softgel may not be appropriate when combined with alpha‑blockers.
• Anatomical deformation: Use with caution in patients with penile anatomical deformation (e.g., Peyronie’s disease) or conditions predisposing to priapism.
• Allergy: Do not take Viagra Super Active if you have a known hypersensitivity to sildenafil citrate or any of the capsule’s excipients.

Driving and alcohol

Sildenafil may cause dizziness, blurred vision, or altered colour perception. Patients should be aware of how they react before driving or operating machinery. Alcohol consumption should be limited, as it may impair the ability to achieve an erection, lower blood pressure, and worsen side effects such as headache and dizziness.

Dosage Instructions

• Standard adult dose: Take one 100 mg softgel capsule orally with a glass of water, approximately 15 to 30 minutes before sexual activity. The capsule should be swallowed whole; do not chew or open it. For the fastest onset, take on an empty stomach or after a light meal. A high‑fat meal can significantly delay absorption.
• Maximum dose: Do not exceed one capsule (100 mg) in a 24‑hour period.
• Elderly, renally impaired, hepatically impaired patients, or those taking CYP3A4 inhibitors or alpha‑blockers: The 100 mg strength is generally not recommended as a starting or sole dose. A lower dose (25 mg or 50 mg) should be used. The 100 mg softgel is contraindicated in severe renal or hepatic impairment.
• Administration: Swallow whole with water. Do not crush or chew.
• Missed dose: Viagra Super Active is taken as needed only; a missed dose concept does not apply.

Side Effects and Contraindications

• Very common side effects (≥ 10%): Headache (16%) and flushing (10%).
• Common side effects (1‑10%): Dyspepsia (7%), nasal congestion (4%), dizziness (3%), and visual disturbances (colour tinge, increased sensitivity to light, blurred vision; 3%).
• Serious adverse reactions: Priapism, sudden vision loss (NAION), sudden hearing loss, and serious cardiovascular events (myocardial infarction, stroke) occurring in temporal association with sexual activity. Hypotension and syncope may occur, particularly with higher doses or in combination with alcohol or antihypertensives.
• Contraindications: Concomitant use of organic nitrates in any form, or nitric oxide donors. Concomitant use of riociguat. Known hypersensitivity to sildenafil citrate. Severe cardiovascular disease, recent myocardial infarction or stroke (within 6 months). Severe hepatic impairment. The 100 mg dose is contraindicated in patients with severe renal impairment (CrCl < 30 mL/min) and in those taking potent CYP3A4 inhibitors (e.g., ritonavir, ketoconazole).

Drug Interactions

• Nitrates and nitric oxide donors — contraindicated: Co‑administration can cause profound hypotension, fainting, shock, or death.
• Guanylate cyclase stimulators — contraindicated: Riociguat.
• Alpha‑blockers: Additive hypotension; sildenafil should be started at 25 mg, not 100 mg, when co‑administered with alpha‑blockers.
• Potent CYP3A4 inhibitors (e.g., ritonavir, ketoconazole): Significantly increase sildenafil levels. The maximum recommended dose of sildenafil is 25 mg, and not more than once every 48 hours with ritonavir. The 100 mg dose is contraindicated with these inhibitors.
• Moderate CYP3A4 inhibitors (e.g., erythromycin, clarithromycin): May increase sildenafil exposure; monitor for side effects, consider a lower dose.
• Antihypertensives: Additive blood‑pressure‑lowering effect; monitor.
• Alcohol: Increases risk of hypotension and headache; limit intake.

Practical Advice

• Administration: Take exactly as prescribed. Swallow the softgel whole with water. For best results, take on an empty stomach. The medication works only with sexual stimulation.
• Monitoring: No routine laboratory monitoring is required. Medical evaluation is recommended before starting ED therapy, especially at the 100 mg dose. Seek immediate attention for priapism, vision or hearing loss, or chest pain.
• Storage: Store at room temperature (15‑30 °C) in a dry place. Keep in original packaging. Keep out of reach of children.
• Lifestyle: Address underlying health factors (smoking, alcohol, weight, diabetes, hypertension). Do not combine with other PDE5 inhibitors.
• Emergency: Priapism (> 4 hours) or sudden vision/hearing loss requires emergency care. Inform all healthcare providers of sildenafil use before any treatment, especially if nitrates are being considered for chest pain.

Alternative Medications

• Standard oral sildenafil (Viagra®, generics): The same active ingredient in a traditional tablet, available in 25 mg, 50 mg, and 100 mg strengths. It has a standard onset of 30 to 60 minutes.
• Tadalafil (Cialis®): A PDE5 inhibitor with a much longer duration of action (up to 36 hours), available for on‑demand or once‑daily use.
• Vardenafil (Levitra®): A PDE5 inhibitor with a duration similar to sildenafil, available as a tablet or orally disintegrating tablet.
• Avanafil (Stendra®): A fast‑acting PDE5 inhibitor with an onset as little as 15 minutes, similar to Viagra Super Active.
• Alprostadil (Caverject®): An injectable or intraurethral therapy that does not rely on PDE5 inhibition and can be used when nitrates are necessary.
• Non‑pharmacological: Vacuum erection devices, penile implants, and psychological counselling.

Clinical Efficacy

Sildenafil citrate is a well‑established therapy for ED. The 100 mg dose has been shown in numerous placebo‑controlled trials to significantly improve the ability to achieve and maintain erections in approximately 82% of men with ED, compared with 24% on placebo. The softgel formulation is designed to be bioequivalent to the standard oral tablet, with the primary difference being a more rapid absorption profile. Pharmacokinetic studies indicate that sildenafil softgel capsules achieve peak plasma concentrations earlier than film‑coated tablets, which translates into a faster onset of action for the patient. The efficacy, safety, and tolerability of the 100 mg dose in the softgel form are comparable to the standard oral tablet, with the same expected side‑effect profile. Generic sildenafil, including internationally sourced softgel products, contains the same active ingredient and is designed to deliver the same therapeutic effect.

Important:

Viagra Super Active (sildenafil citrate) is a prescription medication that should be used only under the supervision of a qualified healthcare professional. The most critical safety warning is that sildenafil, in any form, must never be taken with any form of organic nitrate (e.g., nitroglycerin, isosorbide mononitrate, “poppers”). This combination can cause a severe, sudden, and potentially fatal drop in blood pressure. If you experience chest pain or an erection lasting longer than 4 hours, stop using the medication and seek emergency medical attention immediately. The 100 mg softgel is a high‑dose formulation; do not exceed one capsule per day. It is not suitable for patients with severe kidney or liver problems, or for those taking certain medications (e.g., ritonavir, ketoconazole). Sexual activity carries a cardiac risk in patients with pre‑existing cardiovascular disease. If you are taking alpha‑blockers, you should be stable on that therapy before starting sildenafil, and the dose of sildenafil should be reduced. Do not drink large amounts of alcohol. This product is for adult men and is not intended for use by women or children. If you experience sudden vision or hearing loss, seek immediate medical attention. This information is not a substitute for professional medical advice, diagnosis, or treatment.

Get Generic Viagra Super Active - Shipping across Canada